ATI LPN
ATI PN Adult Med Surg 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who has an external fixation device in place to treat an open fracture of the tibia and fibula. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: Pain medication before pin care reduces discomfort. Traction risks complications, neurovascular checks should be more frequent, and clamp adjustments are for specialists.
Question 2 of 5
A nurse is reviewing vital signs obtained by an assistive personnel on a group of clients. The previous vital signs for each of the clients were obtained 4 hours earlier. Which of the following changes should the nurse identify as the priority finding?
Correct Answer: C
Rationale: A drop to 86/50 mm Hg suggests shock or hemorrhage, requiring urgent attention. Fever, respiratory rate, and heart rate changes are less critical.
Question 3 of 5
A nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse take to prevent ventilator-associated pneumonia?
Correct Answer: A
Rationale: Oral care every 4 hours reduces bacterial growth, preventing pneumonia. Supine positioning increases risk, suctioning frequency varies, and humidification is needed.
Question 4 of 5
A nurse is reinforcing teaching with a client who has angina. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Sudden jaw pain can indicate a heart attack, requiring emergency response. Taking four nitroglycerin tablets risks hypotension, flushed skin isn't typical, and waiting for heartburn delays care.
Question 5 of 5
A nurse is assisting in the plan of care for a client who has constipation after receiving opioid medication for incisional pain. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Auscultating bowel sounds assesses motility affected by opioids, guiding further interventions. Privacy, laxatives, and fluids follow assessment.